THE DENVER PERITONEOVENOUS SHUNT;THERAPEUTIC EFFECTIVENESS AND COMPLICATIONS. | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 22, Issue 4, October 2003, Page 383-391 PDF (292.74 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2003.374253 | ||||
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| Authors | ||||
| Yehia M. Safwat* 1; Hassan A. El Garem2 | ||||
| 1Department of Surgery, Faculty of Medicine, Cairo University. | ||||
| 2Tropical Medicine, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| This study was performed on 42 patients with intractable ascites due to liver cirrhosis. All patients had a Denver peritoneovenous shunt placed. There was a marked reduction in the body weight, and abdominal distension together with an increase in urine output. Almost all patients developed subclinical DIC, but only 3 manifested it clinically. We had several severe complications including variceal bleeding in 3, shunt sepsis in 2, fluid overload in 2, ascitic leak in 3, upper limb deep venous thrombosis in 1, encephalopathy in 1, and shunt occlusion in 5 patients. In this paper we shall discuss the patient selection, operative technique and complications of the procedure with special stress on how to avoid them | ||||
| Keywords | ||||
| Denver shunt; peritoneovenous shunt; intractable ascites | ||||
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